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Venice
Family
Clinic
Capital Budget Píoposal
Southeín New Hampshiíe Univeísity
V
F
C
-
Píivate, non-píofit clinic píoviding caíe to low-
income families
-
Location: Los Angeles, CA
-
Founded in 1970 by two doctoís: Philip
Rossman MD and Mayeí B. Davidson MD
-
Píovides wide íange of compíehensive health
caíe
-
Vision: to impíove the health of people and
communities thíough accessible, quality caíe
-
Mission: to píovide quality píimaíy health caíe
to people in need
F
C
-
C ííent í 40.62%
-
C ííent : $63,556,411
-
C ííent : $1,557,814
-
ľ
$9
,342,777
H
T
-
A (B ís)
-
I íease /telemed íing COVID 19 pandemic
-
A ídable C íe A
P
C : P íchase
íanspoít
í í
Options:
a) Option 1: Purchase a brand-new modern full
size transport vehicle
b) Option 2: Purchase a cheap used transport
van
c) Option 3: Purchase a brand-new transport
minivan
P :
F
R
Cost-Benefit
a)
Option 1: Purchase a brand-new modern
full size transport vehicle
- Ford Transit: Ford Paratransit Van with
wheelchair lift
- Mercedes-Benz Sprinter wheelchair van
- Ram ProMaster: ProMaster 1500,
ProMaster 2500
b)
Option 2: Purchase a cheap used transport
van
c)
Option 3: Purchase a brand-new transport
minivan
- Dodge Grand Caravan
- Mercedes-Benz Metris WAV
P :
O
R
-
Financial
and
Accounting
management
-
Additional Staffing
P :
C
-
E
m
a
il
u
pd
B :
S
-
C ííent í 40.62%
-
C ííent : $63,556,411
-
C ííent : $1,557,814
-
ľ
í
í
2020
2021:
$6,082,597
-
ľ
í
í
2020
2021:
$913,234
B :
E
a.
Cos
t
of
t
he
2022
Foíd
ľ
ía
nsit
Con
nec
t
W
agon
/Va
n:
$5
0,990
b.
Díiveís salaíies (depending the numbeí of díiveís this could
change): $31000 (Salaíy.com, 2022)
c.
Vehicle insuíance foí a yeaí: $6000 (Bankeís Insuíance,
2021)
d.
Routine maintenance fees foí a yeaí (includes caí
maintenance, disinfecting and detailing the van):
$8000-
$12000 (U.S Depaítment of Eneígy, n.d; Aíound the Sound,
2021)
e.
Yeaíly fuel cost: $4500 (U.S Depaítment of Eneígy, n.d;
Aíound the Sound, 2021)
B :
B
A
.
E íeases
.
M íeases
.
U íeases
.
P íeases
B :
R
-
Based on VFC’s píevious budget
-
Company maintain and/oí
incíease íevenue
B :
R
a.
Payback peíiod
b.
Net Píesent Value
c.
Cuííent
íatio
d.
Inteínal
íate
of
íetuín
B :
R
C
a.
Yeaí befoíe íecoveíy + (uníecoveíed
cost at beginning of yeaí/ cash flow
duíing yeaí)
a. $10,618,030+($8,515,134/$5,715,
461) = $10,618,031.50
a. PV = FV/(1+i)2
a. a 50,990/(1+0.05)2 = $46,167.80
a.
ľ
otal
c
uíí
ent
ass
ets
/total
cuí
íe
nt
liability
a. $46,290,193/$4,254,997 =
10.879019
a. Needs to be solved using a calculatoí;
investment
íevenue-investment
cost/
investment cost
a. 1.246%
B :
P
D
B
Refeí to sepaíate Excel spíeadsheet
S
T
I
-
P íchasing
-
G íed
-
ľ
í
í
í
-
S
-
I íease íaining
-
I íease ít ím
-
I íease íopeíty
L -T
I
-
P íchasing
-
G íed
-
I íease
C -B
-
I íeased
4.6%
-
I íeased 3.6%
-
I íeased í
í íe
-
I íeases í í
S
P
-
Gí í í
íe
-
A VFC’
C
-
R
-
C íovide íe
-
S ítage
Around the Sound. (2016). Understanding the Cost of NEMT | ATS Transport. Atstrans.org.
https://atstrans.org/medical-transportation-service/understanding-the-cost-of-nemt-what-are-you-really-
paying-for/
Bankers Insurance. (2021). Non Emergency Medical Transportation Insurance. Bankers Insurance.
https://www.bankersinsurance.net/business-insurance/non-emergency-medical-transportation-insurance/
Centers for Medicare & Medicaid Services. (2016). Medicaid Non-Emergency Medical Transportation
Booklet for Providers. In CMS.gov. https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-
Prevention/Medicaid-Integrity-Education/Downloads/nemt-booklet.pdf
Centers for Medicare & Medicaid Services. (2020). The Affordable Care Act: Increasing
Transparency, Protecting Consumers. Www.cms.gov. https://www.cms.gov/CCIIO/Resources/Fact-
Sheets-and- FAQs/increasing-transparency02162012a
Costello, A. (2021). Center for Medicaid and CHIP Services CMCS Informational Bulletin.
https://www.medicaid.gov/federal-policy-guidance/downloads/cib071221.pdf
Cote, C. (2020). How & Why Managers Use Financial Statements | HBS Online. Business Insights - Blog.
https://online.hbs.edu/blog/post/how-managers-use-financial-statements
Cristea, M., Noja, G. G., Stefea, P., & Sala, A. L. (2020). The Impact of Population Aging and Public
Health Support on EU Labor Markets. International Journal of Environmental Research and Public
Health, 17(4). https://doi.org/10.3390/ijerph17041439
R
Driverge Vehicle Innovations. (2022). Ford Paratransit Wheelchair Lift Vans for Commercial NET
Passengers. Driverge Vehicle Innovations. https://www.driverge.com/vehicles/ford/ford-transit-
wheelchair-
lift-vans/
Linkov, J. (2022). Leasing vs. Buying a New Car. Consumer Reports.
https://www.consumerreports.org/buying-a-car/leasing-vs-buying-a-new-car-a9135602164/
Lyons, P., Ramsey, B., Welker, M., Guinn, M., Ernest, J., Kosydor, A., & Maddox, T. (2021). Implementation
of a non-emergent medical transportation programme at an integrated health system. ProQuest.
https://doi.org/10.1136/bmjhci-2021-100417
Marbouh, D., Khaleel, I., Al Shanqiti, K., Al Tamimi, M., Simsekler, M. C. E., Ellahham, S.,
Alibazoglu, D., & Alibazoglu, H. (2020). Evaluating the Impact of Patient No-Shows on Service
Quality. Risk Management and Healthcare Policy, 13, 509–517. https://doi.org/10.2147/RMHP.S232114
Medical Transportation Access Coalition. (2018). Study Reveals Non-Emergency Medical Transportation
(NEMT) is Extremely Cost-Effective and Life-Saving to Medicaid Program | Medical Transportation
Access Coalition. Mtaccoalition.org. https://mtaccoalition.org/study-reveals-non-emergency-medical-
transportation-
nemt-is-extremely-cost-effective-and-life-saving-to-medicaid-program/
Mercedes-Benz. (2022). TransitWorks Mercedes-Benz Metris WAV. Mercedes-Benz of Smithtown.
https://www.mbofsmithtown.com/wheelchair-accessible-metris/
Michael Nowicki. (2022). Introduction to the Financial Management of Healthcare Organizations,
Eighth Edition: Vol. Eighth edition. Gateway to Healthcare Management.
R
National Research Council (US) Panel on a Research Agenda and New Data for an Aging World.
(2019). The Health of Aging Populations. Nih.gov; National Academies Press (US).
https://www.ncbi.nlm.nih.gov/books/NBK98373/
Route Genie. (2022). How Much Does it Cost to Start an NEMT Business? Route Genie.
https://routegenie.com/how-much-does-it-cost-to-start-an-nemt-
business/#:~:text=As%20prospective%20NEMT%20business%20owners
Salary.com. (2022). Emergency Medical Transport Driver Salary. Salary.com.
https://www.salary.com/research/salary/alternate/emergency-medical-transport-driver-salary
U.S Department of Energy. (n.d.). Alternative Fuels Data Center: Vehicle Cost
Calculator Assumptions and Methodology. Afdc.energy.gov.
https://afdc.energy.gov/calc/cost_calculator_methodology.html
Venice Family Clinic. (2021). Venice Family Clinic Consolidated Financial Statements. In
Venice Family Clinic. https://s3.amazonaws.com/venicefamilyclinic.org/2022/02/VFC-Financial-
Statement-063021.pdf
Venice Family Clinic. (2022). About the Clinic. Venice Family Clinic.
https://venicefamilyclinic.org/about-the-clinic/#overview
R
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